Publication Name	World Journal of Gastrointestinal Surgery
Manuscript ID	125793
DOI	10.4240/wjgs.125793
Country	Germany

Category	Gastroenterology & Hepatology
Manuscript Type	Observational Study
Article Title	Imaging-independent model for predicting choledocholithiasis in acute biliary pancreatitis
Manuscript Source	Unsolicited Manuscript
All Author List	Simon Sirtl, Arlett Patricia Gloria Schäfer, Katharina Bretthauer, Eric Hohmann, Mali Junge, Mahmood Ahmad, Jakob Vielhauer, Anna Hausdorf, Max O Hubert, Raul Velamazán, Ughur Aghamaliyev, Jörg Schirra, Christian Schulz, Michal Żorniak, Georg Beyer, Ujjwal M Mahajan, Julia Mayerle and Hans C Stubbe
Funding Agency and Grant Number
Corresponding Author	Simon Sirtl, MD, Department of Medicine II, LMU University Hospital, Marchioninistraße 15, Munich 81377, Bavaria, Germany. simon.sirtl@med.uni-muenchen.de
Key Words	Acute pancreatitis; Biliary pancreatitis; Gallstone pancreatitis; Choledocholithiasis; Machine learning
Core Tip	We developed an imaging-independent prediction model for choledocholithiasis in acute biliary pancreatitis using only routinely available admission clinical and laboratory variables. Unlike existing approaches, the model intentionally excluded common bile duct diameter to avoid observer-dependent imaging variability. It achieved high sensitivity and a low false rule-out rate, supporting its potential role as an early triage tool. Although not suitable as a stand-alone indication for endoscopic retrograde cholangiopancreatography, it may help prioritize further diagnostic evaluation, especially where endoscopic ultrasound is not readily available.
Citation	Sirtl S, Schäfer APG, Bretthauer K, Hohmann E, Junge M, Ahmad M, Vielhauer J, Hausdorf A, Hubert MO, Velamazán R, Aghamaliyev U, Schirra J, Schulz C, Żorniak M, Beyer G, Mahajan UM, Mayerle J, Stubbe HC. Imaging-independent model for predicting choledocholithiasis in acute biliary pancreatitis. World J Gastrointest Surg 2026; In press DOI: https://doi.org/10.4240/wjgs.125793
PDF	125793-in-press.pdf

Received	2026-07-17 07:17
Peer-Review Started	2026-07-17 07:18
First Decision by Editorial Office Director
Return for Revision	2026-07-28 10:48
Revised	2026-08-11 07:35
Publication Fee Transferred
Second Decision by Editor	2026-10-20 02:37
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-10-20 09:45
Articles in Press	2026-10-20 09:45
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1948-9366 (online)
Open Access	Open-Access: This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Copyright	©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
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